Healthcare Provider Details

I. General information

NPI: 1205752219
Provider Name (Legal Business Name): SPINE123 MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 WILLOW GROVE RD
WESTFIELD NJ
07090-3523
US

IV. Provider business mailing address

827 WILLOW GROVE RD
WESTFIELD NJ
07090-3523
US

V. Phone/Fax

Practice location:
  • Phone: 718-309-5715
  • Fax:
Mailing address:
  • Phone: 718-309-5715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. FRANCINE MAGRONE
Title or Position: OWNER
Credential: NP
Phone: 718-309-5715